Breast reconstruction may require 2
or more operations depending on the extent of surgery
involved and the accuracy required to try to match the
breasts. For reconstruction to be complete, the nipple
and areola must be replaced, although some patients
are satisfied simply to have the general breast contour
restored.
Surgery takes from 1 to 6 hours and
is performed under local or general anesthesia. A hospital
stay can be 1 to 5 days. Postoperative discomfort varies.
The sutures dissolve and the dressings are removed in
one week.
The most common problem following breast
reconstruction is the formation of scar tissue around
the implant, if used, imparting a hard feeling to the
breast. This condition occurs because the scar tissue
surrounds the implant like a shell, compressing the
prosthesis. Another possible complication is infection,
resulting in rejection of the implant or the transferred
tissue. Theoretically, there is a possibility that this
surgery may hide a local recurrence of the original
tumor and prevent detection.